Organization
THE SPIRIT OF ONENESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RHONDA LOUISE RAVENELL (PSYCHOLOGIST)
(586) 208-0929
Entity
Organization
Contact information
Practice address
15630 LAKESIDE VILLAGE DRIVE, 304, CLINTON TOWNSHIP, MI 48038
(866) 411-8182
Mailing address
15630 LAKESIDE VILLAGE DR APT 304, CLINTON TOWNSHIP, MI 48038-6041
(866) 411-8182
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
6301015937
MI
Other
Enumeration date
05/11/2015
Last updated
05/11/2015
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